Registration June 2022 Meditation Retreat

Register for the June 2022 Meditation Retreat!

Maria and I look forward to seeing you there from June 24 – 26, 2022.

Please fill out the Registration Form below to finalize your registration.

If you have any questions, please email me

Name*
First Last
Payment Preference
- Venmo
- Personal Check
Please let us know how you will be paying for the Retreat
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone*
Room Preference*
Room Mate Preference
To be completed if you choose to Share a Room
Preferred Roommate Name
Preferred Roommate Phone
Diet Considerations
- Gluten Free
- Vegetarian
- Vegan
- None
Please check your diet preference
Allergies
Please list any allergies you may have
A copy of your Covid Vaccination Certificate*
Max. file size: 1 GB.
Please upload a copy of your Vaccination Certificate here. You can scan the certificate and then load it from your computer, or take a photograph and load the image here
Important: Payment Process
Once you have submitted this form, you will be taken to a page where you can send your Retreat payment via Venmo or a check